Party Platforms – New Democrats pledge to address health care wait times

The New Democrats health platform is about addressing wait times.

They say they will cut ER wait times in half and make health care a priority.

This is their four-year plan to reduce ER waits:

• They plan to open 50 24-hour family health clinics across the province. This is in addition to existing urgent care centers and walk-in clinics. About 25 per cent of Ontarians presently access a walk-in clinic at least once each year.

• They plan to add 1,400 new long-term care beds to the present stock of 77,000.

• They also plan to recruit 250 nurses practitioners to assist in the hospital ERs. This has been costed at $30 million per year. In their platform they note that St. Michael’s has been successful in reducing ER waits using three nurse practitioners in a fast track process.

The New Democrats have brought back their earlier pledge to establish a “five-day” guarantee for home care service. They intend to do this by adding $30 million a year to the home care budget. At present about half of the provinces Community Care Access Centres are reaching that target as an average, the other half are still struggling to meet demand. The annual budget for Community Care Access Centres to deliver home care is $2.2 billion.

Other initiatives

Beginning in 2015-16 they would set aside $5 million a year to forgive student debt for doctors who agree to practice in underserviced areas.

They would also set aside $230 million in 2015-16 towards a family caregiver health credit and increase it by $10 million per year. Primary caregivers who help with basic functions of daily living would receive a tax credit of $1,275 per year.

Andrea Horwath has also pledged to extend the Ontario Ombudsman’s jurisdiction to cover health care. The Wynne government had recently announced it was expanding the ombudsman’s reach to the MUSH sector – Municipalities, Universities, School Boards and Hospitals – but had excluded health care. Instead the Liberal plan would create a separate patient ombudsman.

For more information regarding party positions on health care, click here.

Cornwall: Tonight’s rally asks Despatie to stop hiding behind EORLA

CORNWALL — Jeanette Despatie needs to stop hiding behind the Eastern Ontario Regional Lab Association and answer the community’s questions about the transfer of medical laboratory tests to Ottawa.

Despatie, the CEO of the Cornwall Community Hospital, was originally expected to appear before Cornwall’s City Council tonight to explain how the transfer in service reflects an improvement to local residents. The city donated $12 million towards the hospital’s redevelopment project under the understanding that services would improve. Despatie has refused to show up to answer questions from Cornwall’s elected representatives.

It begs the question: what has she got to hide?
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Promises to fix long term care tepid despite 29 violent deaths

We hope they will take time to remember the 29.

Diablogue Election Primer graphicToday the Ontario Health Coalition is launching their rocking chair tour across the province to draw attention to the lack of staffing in the province’s nursing homes.

Lack of staffing means missed baths, long waits in soiled incontinent pads, rushed feedings and too little time to pause for a friendly bit of conversation with a frail and often isolated senior. It also means danger.

Between 2003 and 2012 there were 29 seniors killed in resident-on-resident assaults in Ontario’s nursing homes.

Last year it was Francisco DaSilva and Jocelyn Dickson. He was age 87, she 72.

There are numerous remedies that have been proposed, including better staff training and specialized facilities for persons with cognitive impairment.

Every report that has looked at the situation has come back with a recommendation to increase staffing in these homes.

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Tory health platform review: Direct promise to scrap LHINs, CCACs missing

Diablogue Election Primer graphicCuriously after months of saying they’ll do away with both the Local Health Integration Networks and the Community Care Access Centres, both direct promises are conspicuously absent from the formal Tory election platform. That doesn’t mean they will stay in place either.

They do say they’ll instead place decision-making in the hands of “health hubs,” which will bring together “front line local experts from every aspect of health care together at the same table.” Elsewhere they define these local experts as “front-line professionals.”

“We think your nurses, doctors, community care organizations and hospitals know best what care you need,” the platform document states.

So what’s a health hub? Previously the Tories had described these not as some kind of broad-based panel of front line health professionals, but instead 30-40 large central hospitals which would run the health system within their sub-region.

The Tories may be massaging that pledge given it would strike at the independence of mostly local rural hospitals — which is where much of their electoral base resides. The first round of hospital consolidation under the Harris government created a lot of friction as smaller community hospitals found many of their services consolidated in larger urban sites. If the “health hubs” idea is to be implemented according to their earlier “white paper” it may be a vote loser in many smaller communities across the province. Nobody wants to see their hospital services taken away.

The platform is remarkably vague on how these “health hubs” would now be constituted. Watch for a possible name change, some new signs and a coat of paint applied to the Local Health Integration Networks.

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Election 2014: Conservative media turn against 100,000 job cut plan

Tim Hudak’s promise to cut 100,000 jobs in the public sector is worrying even fellow Conservatives.

Diablogue Election Primer graphicIn today’s National Post, right-wing columnist Tasha Kheiriddin says she can’t vote for Hudak because his education cuts would threaten kids with special needs, including her own four-year old daughter. “One in 68 kids is now autistic,” writes Kheiriddin. “We need more support workers and early childhood educators, not just for the kids who have difficulties, but to make sure they don’t draw all the teachers’ attention away from the kids who don’t.”

Newstalk 1010 is known for its over-the-top Conservative vitriol, but today Dave Agar started to do the math on what a cut of 100,000 public sector jobs would mean. “That’s a hundred thousand fewer people spending at the grocery store and the Canadian Tire and the Home Depot, at your favorite restaurant or bar or movie theatre,” Agar said, noting a Canadian Centre for Policy Alternatives report that indicates 50,000 private sector jobs would also get side-swiped by such a public sector cut. Asking what would we get, Agar says “the only thing that seems certain is the province’s books would be balanced one year earlier than the Wynne government plan.”

The Globe and Mail, no fan of progressive politics either, said in its May 12 editorial the 100,000 job cut plan “looks ill-considered and excessive.” They note “at current deficit levels, the province’s debt-to-GDP ratio is barely rising,” highlighting the fact that Ontario remains one of the lowest spending provincial governments. By the time you calculate public sector jobs beyond Hudak’s reach (municipal, federal) and those he has vowed not to touch (doctors, nurses and OPP) that leaves 650,000 public sector workers at risk, most, the Globe warns, of whom work in education, health and social services. That would amount to a cut of about one in six jobs.

Election 2014 Briefs: Hudak as Donald Trump? Let the wild rumpus begin

Kathleen Wynne certainly has someone on staff who is working overtime coming up with bon mots for the Premier. The media reported Wynne’s comments on Tuesday about PC Leader Tim Hudak’s plan to slash 100,000 public sector jobs. She said “no one since Donald Trump has been as eager as Tim Hudak to say the words ‘you’re fired.’” The Premier likely senses that the extreme pledge to cut jobs – more than double Mike Harris’ public sector roadkill – is unpopular and likely to be a wedge issue. Last Friday she succinctly suggested that Hudak was converting “paycheques into pink slips.” We’ve noticed that our friends at CUPE also thought that summary phrase a good one and are urging their members to stop Tim Hudak’s “pink slip pledge.” Has anyone calculated just what the severance alone will be, much less the cost of recruitment when we truly find out how many really were essential?

Just prior to the Sousa budget, Kathleen Wynne had announced that the province’s lowest waged personal support workers (PSWs) were going to get a retroactive raise. The minimum wage for PSWs has been stuck at $12.50 per hour since 2006. The government said it would raise that amount by $1.50 retroactive to April 1st. The Personal Support Network of Ontario issued a bulletin this week saying they have been leaving messages with the Health Minister’s office to clarify the status of the raise. The PSNO said they spoke with a political staffer and expressed their disappointment, saying this “was a serious letdown to the sector and to the workforce.” In reporting on the original  announcement, the Globe and Mail said given the first $1.50 raise is retroactive, “it would take effect even if the budget falls, forcing a snap election.” That raise is expected to cost the government $50 million this budget year.

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Nursing Week award winners prove system is far from broken

On Monday night in introducing Dr. Danielle Martin to his speaker series, Bob Ramsay suggested that Ontario’s health care system is broken.

It’s a bit of a stretch to look at the challenges we face and conclude the system is entirely broken. As Dr. Martin herself said, you can find failures in any health system.

What is often hard to measure is the commitment by those working within the system. Most of the front line staff we speak with have chosen these professions precisely because they are caring occupations.

Patients and families still recognize the effort, especially facing constrained budgets and escalating workload. We’ve seen more than a handful of letters in the media that express surprise with the quality of patients’ care experience. Like Ramsay, the publicly expressed concerns about system often lead patients to conclude the worst.

This afternoon we got news that four OPSEU nurses have received “caring” awards as a result of testimonials by listeners of a regional chain of radio stations.

Bayshore Broadcasting is profiling the winners on their radio station as well as on-line at their Healthy Tomorrow’s website. Click here to read the detailed comments about each.

The four OPSEU RPNs are among 26 award-winners this year.

OPSEU winners are:

Helen Rice, RPN, Participation Lodge (Local 235)
Lisa Slot, RPN, Wiarton Hospital (Local 260)
Jennifer Wonch, RPN, Lee Manor (Local 299)
Holly Bowen, RPN, Meaford Long Term Care (Local 289)

Congratulations to all.


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Thank you Danielle for reminding us what this country is worth

It wasn’t one of her three big ideas to improve health care, but it was a brief moment of brilliance.

During Monday’s RamsayTalks at the University of Toronto, Dr. Danielle Martin had just been asked by the Rotman School’s Mark Stabile how she would achieve her goal to expand public drug coverage when there was a declining appetite for deficits or taxes.

Her initial comment was “please, somebody tax me.” Given the creation of Doctors for Fair Taxation (their link is on the right) that part of the message is not entirely new nor is it a surprise that Martin would say it. It was the phrase that followed that was far more interesting: “I think our country is worth it.”

At that moment it sounded warmly nostalgic.

Conservatives like Stephen Harper and Tim Hudak want us to know the cost of everything and the value of nothing. “Worth” just doesn’t come into play.

Conservatives like to wrap themselves all around the flag and the military. They talk about the ultimate sacrifice young men and women pay with their lives to preserve our freedom. Yet when we ask them to simply pay taxes so that no Canadian is left behind in our economy, well the hypocrisy becomes self-evident. Young people are expected to give up their lives. Conservatives will only grudgingly part with their silver.

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Ontario could spread Pharmacare to the rest of Canada — Dr. Danielle Martin

Dr. Danielle Martin is interviewed on stage during the Ramsay Talks series at the Isabel Bader Theatre.

Dr. Danielle Martin is interviewed on stage during the Ramsay Talks series at the Isabel Bader Theatre.

If we did a good enough job with it, Ontario could spread Pharmacare to the rest of Canada says Dr. Danielle Martin.

Asked what one issue she would like to see in the present provincial election, Martin never even hesitated. Unlike other initiatives that are national in scope, Ontario is big enough on its own to negotiate better drug prices and implement a universal drug plan.

Speaking at Ramsay Talks last night in Toronto, Martin said Pharmacare could begin with “20 drugs to save a nation.”

She says we could pick out 20 generics that are proven to help Canadians manage chronic disease. In Ontario the savings would be so great that the province could theoretically pick up the tab for the rest of the country and still reduce expenditures.

“Let’s focus on the ones that have the biggest bang for the buck,” she said.

That claim alone should be enough for any politician on the hustings to stand up and take note.

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Election 2014: Knock Knock – Health care questions you may want to ask

“Knock knock.

Who’s there?

Tim.

Tim? Who’s dat?

No – it’s Tim Hu-dak.”

The candidates are knocking on your door. All candidate meetings are being organized in each riding. Are you ready?

Diablogue Election Primer graphicHere are some questions you might want to put somewhere near the door, or perhaps take with you to a local forum. Please add your own suggestions in the comment field below.

Hospitals

Before the 2011 general election the Auditor General of Ontario said that with planned funding increases of 3.3 per cent provincial hospitals would have to find $1 billion in savings or “they will likely run deficits or may have little alternative but to cut services.” Since 2011 we actually witnessed base hospital funding constrained even further to 1.5 per cent, then zeros for two years after that. The spring budget would have extended the freeze on base hospital funding another year. The auditor’s warnings have come true – cuts to staff and services have been taking place across the province. What would your party do to stem the tide of hospital cuts?

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